Virtual Medical Billing Coordinator
Claim Submission and Tracking
- Prepare and submit accurate medical claims using EHR or clearinghouse platforms, including verifying claim completeness, coding alignment, and payer requirements.
- Monitor claim batches to confirm receipt and processing status with insurance payers.
- Correct and resubmit claims rejected by clearinghouses or denied by payers, documenting status updates and resolution steps.
Payment Posting and Reconciliation
- Post payments, adjustments, and write-offs based on EOBs and ERA files, ensuring accurate allocation to patient and payer accounts.
- Reconcile daily deposits and payment logs with expected payments based on payer contracts and allowed amounts.
- Identify underpaid or overpaid claims and escalate discrepancies as needed.
Denials and Appeals Management
- Research and resolve claim denials by reviewing documentation, payer rules, and appeal options.
- Draft and submit appeal letters or documentation packets to support overturned denials.
- Track status and outcomes of appeals in billing systems or payer portals.
Communication and Coordination
- Communicate with insurance payers via phone or portal to clarify claim status, authorization requirements, or outstanding balances.
- Coordinate with providers, front office, or care coordinators when clinical documentation or patient eligibility impacts billing.
- Escalate unresolved claims or documentation issues to billing leads or practice managers.
- Claim Creation and Submission: Understands payer-specific claim requirements and uses EHR/clearinghouse tools to generate and send complete claims.
- ICD/CPT/HCPCS Coding Knowledge: Familiar with medical coding principles and can identify documentation or code-related errors that impact payment.
- Payment Posting and Reconciliation: Posts ERA/EOB payments accurately and reconciles payer remittance against service charges and contracted rates.
- Denial Management: Tracks, investigates, and appeals denied claims based on payer feedback and documentation best practices.
- Clearinghouse and Payer Portal Use: Navigates insurance portals and clearinghouses to verify status, resubmit claims, or download payment data.
- HIPAA and RCM Compliance: Maintains patient privacy and complies with revenue cycle and documentation regulations in all tasks.
- Focus and Accuracy: Maintains a high degree of precision in data entry, claim review, and financial reconciliation.
- Problem-Solving Mindset: Investigates root causes of denials and rejections with persistence and a solutions-first approach.
- Financial Clarity: Communicates balances and payer decisions clearly when interacting with internal teams or patients (if applicable).
- Team Handoff Coordination: Works collaboratively with intake, clinical, and front-desk teams to ensure documentation supports clean billing.
- Time Management: Balances real-time claim follow-up, batch processing, and denial worklists efficiently to meet submission deadlines.
By clicking “Start Application,” you acknowledge and agree to the following terms and conditions, and confirm that you meet the outlined application requirements.
Application Device Requirement
Applicants must complete the application process using a laptop or desktop computer only. Applications submitted via mobile devices may not be considered.
Work Schedule & Availability
Applicants must be willing and able to work across United States business hours, including all major time zones:
- Eastern Time (ET)
- Central Time (CT)
- Mountain Time (MT)
- Pacific Time (PT)
Flexibility across shifting schedules within these time zones is required based on client assignment.
Location Eligibility
At this time, we are accepting applications only from candidates based in:
- Islamabad
- Rawalpindi
- Lahore
- Or adjoining areas within a 30 km radius of these cities
This limitation is due to current operational and logistical constraints, including courier and onboarding reliability within Pakistan.
Professional Conduct & Work Environment
Applicants will be required to adhere to company policies and maintain professional conduct aligned with U.S. corporate workplace standards, including communication, accountability, and work ethic expectations.
Client Work Requirements
Upon placement with a client, applicants will be required to remain available on video (webcam on) during working hours via designated communication platforms, as part of standard remote work protocols and client expectations.
Compensation Structure
Compensation for selected candidates typically ranges between USD $500 – $1,000 per month, depending on:
- Total years of relevant experience
- Role-specific competencies
- Industry alignment
All compensation decisions are made at the discretion of the Talent Acquisition team, based on structured evaluation criteria and professional judgment. We are committed to maintaining a fair and non-discriminatory selection process.
Final compensation and placement decisions are determined at the time of client assignment and are considered final and non-contestable.
Virtual Medical Billing Coordinator
Key Competencies / Hard Skills:
- Claim creation and submission
- ICD/CPT coding understanding
- Payment posting and reconciliation
- Denials and appeal processes
Key Tasks / Responsibilities:
- Submit claims via EHR/clearinghouse
- Track payments and EOBs
- Resubmit denied claims
- Manage payer communications
Key Soft Skills:
- Focus and accuracy
- Problem-solving mindset
- Financial clarity when speaking with patients
- Team handoff coordination